Preparation for practice in an uncertain world : student perspectives

Background: This paper presents the findings of an international online learning project that was conducted amongst three Occupational Therapy pre-registration programmes: Coventry University, the University of Cape Town and... [ view full abstract ]

Background:
This paper presents the findings of an international online learning project that was conducted amongst three Occupational Therapy pre-registration programmes: Coventry University, the University of Cape Town and PXL Limburg University, Belgium. 200 undergraduate students were allocated to twenty international discussion forums in which they considered real- world complex case scenarios donated by graduates in their first posts. Students were encouraged to think creatively and develop innovative ways to deliver international culturally-sensitive services through this pedagogical approach.

Method
Case study methodology was selected, the ‘case’ (Simons, 2009) being undergraduate students’ preparation for the uncertainty of practice. Perspectives of the teaching and learning experience were captured through mixed methods. Parametric and non-parametric methods were used for analysis of the quantitative data. Documentary and thematic analysis were used for the qualitative data (Braun & Clarke, 2006). Ethical approval was obtained through University ethical approval processes.

Results:
Five key themes emerged:
1. Beginnings: Interest, intrigue, hopes, trepidation
2. Using real scenarios from graduates first posts
3. International representation and exchange
4. Connecting and learning with others
5. Going forward: learner gains and advice
Each will be shared, including lessons learnt and recommendations.

Conclusion:
To support occupational therapy graduate preparedness, there needs to be a universal shift in our learning environment. More scope is needed in the curriculum to deal with complexity, promote agency and extend professional reach.

Application to Practice:
Findings from this study provide opportunity to inform educational approaches in preparing graduate occupational therapists for the field of practice and beyond.